The nurse knows that which indwelling catheter procedure places the patient at greatest risk of acquiring a urinary tract infection?
Kinking the catheter tubing to obtain a urine specimen
Emptying the drainage bag every 8 hours or when half full
Failing to secure the catheter tubing to the patient's thigh
Placing the drainage bag on the side rail of the patient's bed
The Correct Answer is D
a) Kinking the catheter tubing to obtain a urine specimen: Kinking the catheter tubing can cause backflow of urine, increasing the risk of infection, but it is not as significant a risk factor as improper drainage bag positioning.
b) Emptying the drainage bag every 8 hours or when half full: Properly emptying the drainage bag regularly reduces the risk of infection, as it prevents overfilling and backflow. This practice is usually part of proper care.
c) Failing to secure the catheter tubing to the patient's thigh: Securing the tubing to the thigh is important for preventing pulling or tension, but it’s not as significant in terms of infection risk as the positioning of the drainage bag.
d) Placing the drainage bag on the side rail of the patient's bed: This significantly increases the risk of urinary tract infections (UTIs) as it can cause the urine to flow back into the bladder, a condition called "reflux." The drainage bag should always be kept below the level of the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.45"]
Explanation
Order: Novolin insulin 45 units subcutaneously every morning
Available: Novolin 100 units/mL
Desired dose: 45 units
Volume to administer: 45 units ÷ 100 units/mL = 0.45 mL
Answer:
0.45 mL
Correct Answer is D
Explanation
a) Lay the client flat in the bed: The client should not be flat to reduce the risk of aspiration. The head of the bed should be elevated at least 30 to 45 degrees.
b) Administer oral pain medication: This action is not related to verifying NG tube placement prior to feeding.
c) Allow the feeding to flow by gravity: The nurse should verify tube placement before administering the feeding, regardless of whether it’s given by gravity or pump.
d) Verify the placement: Verifying the NG tube placement is essential to ensure the feeding goes into the stomach and not the lungs, which can lead to aspiration pneumonia
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